NPI | 1912357252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 282183) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268345) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2020-12-29 |